Healthcare Provider Details

I. General information

NPI: 1386427631
Provider Name (Legal Business Name): BRIDGES NJ INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2023
Last Update Date: 02/03/2026
Certification Date: 02/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

818 GREEN VALLEY RD
JACKSON NJ
08527-2944
US

IV. Provider business mailing address

818 GREEN VALLEY RD
JACKSON NJ
08527-2944
US

V. Phone/Fax

Practice location:
  • Phone: 732-473-8496
  • Fax:
Mailing address:
  • Phone: 732-473-8496
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. RACHEL ZOLTY
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 347-628-7338